Enrolment Form

Enrolment Form

Ladybirds Preschool Enrolment Form 2021
Child's Full Name*

First NameMiddle NameLast Name
Gender
Date of Birth*

DayMonthYear
Date
Parent/Guardian Name*

First NameLast Name
Parent / Guardian Contact Details*

Street Address

Street Address Line 2

TownCounty

Post Code
Relationship to the child*
Home Phone

Area CodePhone Number
Mobile Phone Number*
Email*
example@example.com
GDPR

By giving us your details, you agree to be contacted by Ladybirds Preschool regarding your enrolment. If you do not enrol your details will be removed from our system to comply with GDPR regulations.
Requested Start Date*

DayMonthYear
Date
Sessions

Please note that children that attend the full day MUST bring their own nut free packed lunch. We will endeavour to offer the sessions requested but it is not always possible. Please indicate if you are flexible with your requirements, or if you have specific needs (eg: due to work commitments)

Requested Sessions - please tick all preferred sessions*

Flexibility*

I am flexible with my requested sessionsI am not able to be flexible with requested sessions
CHILD FUNDED STATUS*

2 year funding2 year working parent fundingExtended (30 hour) fundingEYPPDAFNo funding
Please use this space for any relevant information you would like us to know?
Signature*

Clear
Should be Empty:

GDPR